Children's use of primary and preventive care under Medicaid managed care

The authors found that two mandatory Medicaid primary care case management (PCCM) programs were somewhat successful in improving access to Primary car e among children in the early 1990s. However, the Florida program, in which the PCCM benefit package included Early and Periodic Screening, Diagnostic , and Treatment (EPSDT) services, did not meaningfully increase EPSDT scree ning visits among preschoolers. Further, the increase seen in New Mexico, w here EPSDT was carved out of the PCCM benefit package, was evident for both program participants and non-participants and therefore could not be attri buted to the PCCM program.